Universitat Internacional de Catalunya

Radiology for Endodontics

Radiology for Endodontics
1
12277
2
Annual
OB
Main language of instruction: English

Other languages of instruction: Catalan, Spanish

Teaching staff


MSc Jordi Tomàs Aliberas - jtomas@uic.es

Introduction

In the event that the health authorities announce a new period of confinement due to the evolution of the health crisis caused by COVID-19, the teaching staff will promptly communicate how this may effect the teaching methodologies and activities as well as the assessment.


Radiology represents a very important area within the dental field and specifically in the area of endodontics, since it is a basic component within the diagnosis and therefore of the therapeutics. An adequate radiographic technique and an appropriate interpretation are essential for the development of successful treatments.

This subject aims to present the conceptual and technical bases of conventional and digital imaging in addition to the latest advances in 3D images, based on the criteria imposed by the ALARA (As Low As Reasonably Achievable) principle of radiological safety.

Pre-course requirements

Knowledge about head anatomy and dental anatomy.

Objectives

The purpose of these seminars is for students to understand the importance of radiology as a complementary test in endodontics and:

To know the general principles of radiology in endodontics.

To interpret radiographs and CBCT scans correctly during diagnosis, planning and treatment.

To know ALARA requirements.

To perform a radiographic technique correctly.

To know the advantages and limitations in the diagnosis of dental fractures, pulpoperiapical pathology and non-odontogenic lesions.

Competences/Learning outcomes of the degree programme

At the end of the course, students will be expected to:

Know the different radiographic techniques for diagnosing and planning appropriate treatment and know the prognosis for endodontic treatment as well as nonsurgical and surgical retreatment.

Know how to identify the concerns and expectations of patients, as well as how to communicate effectively and clearly, both orally and in writing, with patients, family members, the media and other professionals.

Understand the importance of practising in a professional way that respects the independence, beliefs and culture of all patients.

Be familiar with the general pathological characteristics of the illnesses and disorders that affect organic systems, specifically those which have dental repercussions.

Promote the acquisition of new knowledge and techniques through autonomous learning, as well as the motivation to achieve quality.

Know how to share information with other healthcare professionals and work as part of a team.

Understand the importance of keeping and using patient files for their subsequent analysis, while ensuring patient confidentiality is maintained.

Understand and recognise the principles of ergonomics and safety at work (including the control of cross infection, radiation protection and occupational and biological diseases).

Obtain and create a medical record containing all the relevant information.

Know how to undertake a full dental examination, including the requisite radiographs and complementary exploratory tests, as well as obtaining suitable clinical references.

Have the ability to make an initial diagnostic judgement and establish a reasonable diagnostic strategy, as well as being competent in recognising situations that require urgent dental treatment.

Establish a diagnosis, prognosis and suitable treatment planning for the endodontic area, supported by available imaging tools.

Be capable of applying appropriate diagnostic techniques and interpret the results that derive from them correctly.

Acquire clinical experience under suitable supervision.

Be aware of the danger of ionising radiation and its impact on biological tissue, as well as the legislation that regulates its use. Know how to manage dental radiodiagnosis facilities.

Perform the radiographs required for dental practice, interpret the images obtained and learn about other important image-based diagnosis techniques.

Be aware of clinical and laboratory-based procedures and diagnostic tests, know their reliability and diagnostic viability and be competent in interpreting the results.

Recognise oral normality and pathology, and have the ability to evaluate semiological data.

Identify the main reason for the consultation and the history of the current disease. Create a general medical record and a clinical record which accurately reflect the patient's notes.

Know about and be able to use the basic tools and equipment for dental practice.

Apply the principles of ergonomics to dentistry work, both at an individual level and a work-group level as appropriate, and also the principles of preventing work-related accidents in dental practice.

Recognise that the patient is the centre of attention and that all interaction, including the prevention, diagnosis, planning and carrying out of the treatment and maintenance must support their best interests, always avoiding any type of discrimination and respecting confidentiality.

Take and interpret radiographs and other image-based procedures that are important in dental practice.

Demonstrate the ability to argue and defend one’s own scientific ideas as well as to listen, analyse, evaluate and respond to the ideas of others.

Acquire learning skills that allow the student to continue studying in a self-directed and autonomous manner.

Understand how to provide a basis or opportunity for originality in developing and/or applying ideas in a research context.

Apply acquired knowledge and develop a problem-solving ability in new environments within broader (or multidisciplinary) contexts related to the field of study in question.

Know how to communicate their conclusions and the basic reasoning behind them to specialised and non-specialised audiences in a clear and unambiguous way.

Demonstrate the ability to integrate new knowledge acquired through research and study, and deal with complexity.

Learning outcomes of the subject

Students will be expected to:

Identify structures of different topographical regions of the head and neck using image techniques.

Identify structures of the different topographical regions of the oral cavity and teeth in particular using image techniques.

Be able to use specific IT tools.

Apply new techniques in imaging such as CBCT that help in the diagnosis, planning and development of treatments in clinical practice.

Know the principles, indications, techniques of use, advantages and limitations in the use of conventional and digital intraoral radiography and CBCT.

Syllabus

1. General principles of radiology in Endodontics. 2. Intraoral radiographic principles and techniques. 3. Special situations. 4. Intaroral digital imaging.

5. Radiographic considerations before the endodontic treatment is initiated.

6. Radiographic analysis of anomalous tooth forms and morphological variations related to endodontics.

7. Radiographic expression of endodontic disease.

8. Image interpretation of periapical abnormalities.

9. Radiographic interpretation of traumatic injuries.

10. Radiographic analysis of acquired pathological dental conditions.

11. Radiographic analysis of periodontal and endodontic lesions.

12. Radiographic imaging in implant dentistry.

13. Radiographic considerations during endodontic treatment.

14. Electronic apex locator vs radiographies.

15. Vertical root fractures. Radiographic diagnosis.

16. Healing and chronic apical periodontitis.

17. Cone beam computer tomography.

18. Interpretation  lesions using CBCT.

19. CBCT in cases clinics.

Bibliography and resources

Papers from JOE and IEJ related to the subject.

Cohen S, Burns RC. Pathways of the pulp. 10th ed. St. Louis: Mosby, 2011

Basrani B. Endodontic radiology. 2nd ed. Oxford: Wiley-Blackwell, 2012